The nurse is caring for a patient experiencing dyspnea, dependent edema, hepatomegaly, crackles, and jugular vein distention. What condition should the nurse suspect?
A) Pulmonary embolism
B) Heart failure
C) Cardiac tamponade
D) Tension pneumothorax
Ans: B
Feedback: A patient with heart failure has a decreased cardiac output caused by the heart's decreased pumping ability. A buildup of fluid occurs, causing dyspnea, dependent edema, hepatomegaly, crackles, and jugular vein distention. Patients with pulmonary embolism experience acute shortness of breath, pleuritic chest pain, hemoptysis, and fever. Patients with cardiac tamponade experience muffled heart sounds, hypotension, and elevated central venous pressure. Patients with tension pneumothorax have a deviated trachea and absent breath sounds on the affected side, as well as dyspnea and jugular vein distention.
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